Help!! Anxiety!!

masny · Nov 30, 2003

Documentation is always your best defense. I don't think this will be too serious but use it as a learning experience and be sure to document the change of treatment. In our hospital, a doctor's order would be needed to discontinue the IV fluids.

BarbPick · Nov 30, 2003

Bosses are smarter than you think! Just like Nursing Instructors. Trust me, your Boss has her number, as well as yours. I bet your Boss can predict your behavior almost to the 15 minutes. Having said that, If it wasn't charted, it wasn't done.

I was set up for a fall once, you know, Your Mom was right, If you dig a hole for someone, they fall into it themselves.

Think of it this way, The IV could not run it's self dry when it is off, now can it?

Tweety, BSN, RN · Dec 1, 2003

You might educate your manger and the person who reported you that it is perfectly acceptable to run LR by gravity. It might not be your policy, but the person was in no danger. But basically it comes down to your word against hers. The other person shouldn't make assumptions based on observation. He/she should have come to you and assessed the situation first, but should also spend energy on things that really matter.

If your manager is worth anything he/she will take this as an opportunity for your professional development, i.e. learning better documentation and applying Buck's. But even if that doesn't happen, you've learned a lot haven't you?

(P.S. clean up your messes, don't leave iv's hanging that you're not using. :) )

Good luck.

Speculating · Dec 1, 2003

Originally posted by 3rdShiftGuy
You might educate your manger and the person who reported you that it is perfectly acceptable to run LR by gravity. It might not be your policy, but the person was in no danger.

I'm ashamed 3rdshiftdude you can't charge for a pump if you don't use it money-money-money:p

Originally posted by 3rdShiftGuy
It might not be your policy, but the person was in no danger. But basically it comes down to your word against hers.

Not to nit pick friend, but it could be an issue on the outside chance the pt had a dx of CHF...

Originally posted by 3rdShiftGuy
(P.S. clean up your messes, don't leave iv's hanging that you're not using. :) )

Pet peeve of mine. Nothing worse than having to pick up after your own. I'm guessing this is what started the whole issue. I hate tattle tales don't you. Can't we all just get along!

BarbPick · Dec 1, 2003

Pick up after yourself, the person who hung that sign on a unit I work at, is a slob!

Tweety, BSN, RN · Dec 2, 2003

Originally posted by Speculating
I'm ashamed 3rdshiftdude you can't charge for a pump if you don't use it money-money-money:p

Sorry, but I don't understand what you're saying here. :confused:

Agree though, the patient's condition might have warranted a pump.

BarbPick · Dec 2, 2003

Dial a flows are attatched to the IV tubing and you set the dial to the number of cc's per hour you want by twisting. The cost about 5 dollars a day, I think the person who you quoted was reffering to the fact that IVAC or which ever brand pumps costs at least $50.00 a day charged to the patients.

Speculating · Dec 2, 2003

quote:

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Originally posted by Speculating

I'm ashamed 3rdshiftdude you can't charge for a pump if you don't use it money-money-money

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Originally posted by 3rdShiftGuy
Sorry, but I don't understand what you're saying here.

Agree though, the patient's condition might have warranted a pump.

Just having fun with you. Making every pt. have a pump that has fluids hanging as Nursehappy's hospital does sounds more like a way to pad the bill than anything else. Not everyone needs a pump and to make it protocol is ridiculous.

mattsmom81 · Dec 2, 2003

When I can't find my IV pumps in critical care I must run all over the facility to find KVO IV's running on ICU pumps. When I try to commandeer MY OWN pumps I am told it is against policy and they will 'get in trouble' with their manager if I take it.

Now how stupid is that?? So stupid that the goshalmighty $$$ must be behind it. Dial-a-flows are MADE for this type of situation...but I cannot get management to agree...

Tweety, BSN, RN · Dec 2, 2003

Originally posted by Speculating
quote:
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Originally posted by Speculating
I'm ashamed 3rdshiftdude you can't charge for a pump if you don't use it money-money-money

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Just having fun with you. Making every pt. have a pump that has fluids hanging as Nursehappy's hospital does sounds more like a way to pad the bill than anything else. Not everyone needs a pump and to make it protocol is ridiculous.

Ah ha! I get it now. DOH! That could very well be true. :)

Steph_RN_BSN · Dec 25, 2003

Technically, if the med was not on the MAR and the patient came to your unit with it running, it should be stopped when they get there. I assume the patient came from the ER, pretty standard. Whenver you stop IV fluid, discard it if it isn't needed. It isn't breaking any rules if you leave it hanging there. What if the patient needed a bolus in the middle of the night. Spiked fluid is usually good for about 72 hours, so it was there for back up. It's one person's word against another. Remember...what goes around comes around, remain calm but strong when addressing your boss, you will come off as confident!